Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The efficacy of dose titration of OxyNorm™(Oxycodone) immediate-release capsules versus morphine immediate-release tablets in the treatment of cancer pain.
To compare the efficacy of dose titration of OxyNorm™(Oxycodone) immediate-release capsules versus morphine immediate-release tablets in the treatment of cancer pain.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oxycodone Capsules for cancer pain | Experimental |
| |
| Morphine tablets for cancer pain | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oxycodone | Drug | dosage: 5mg, l0mg and 20mg dosage form: capsule frequency: every 6h, duration: 5-8 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Numerical Rating Scale (NRS) | The numerical rating scale is the tool to assess pain level using a numerical rating scale. The primary outcome measurement is the average change of NRS score after double blind treatment between the two treatment groups. The NRS evaluates the pain level using number scale from 0 to 10. 0 means not painful and 10 means extremely painful. 1 to 3 is lightly pain, 4-6 is moderate pain and 7 to 10 is severe pain. There is no subscales used for NRS reporting. | baseline up to 5-8 days (double blind period) |
| Measure | Description | Time Frame |
|---|---|---|
| The Average Dose of Study Medicine Used During Double Blind Treatment Period | the average dose of study medicine used during double blind treatment period between the two treatment groups. | baseline up to 5-8 days (double blind period) |
| Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Shiying Yu, Prof. | Wuhan TongJi Hospital | Principal Investigator |
Not provided
Patients with moderate to severe cancer pain requiring oral opioid therapy were screened. All the patients who meets the inclusion/exclusion criteria were enrolled to double blind treatment phase. No wash our or run-in period required by protocol.
A total of 242 subjects were enrolled from 20 centers in which 192 subjects completed the study and 50 subjects did not completed the study. All the subjects were recruited from medical clinic.The recruitment period is from 2011 Jan to 2012 Mar.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Oxycodone Capsules for Cancer Pain | Oxycodone: dosage: 5mg, l0mg and 20mg dosage form: capsule frequency: every 6h, duration: 5-8 days. All patients completed the double-blind treatment entered into period 2. period 2 is open treatment phase. Patients received two weeks treatment of oxycodone hydrochloride controlled-release tablets. |
| FG001 | Morphine Tablets for Cancer Pain | Morphine: Morphine tablets 10mg and 20mg, oral every 4-6 hours. All patients completed the double-blind treatment entered into period 2. period 2 is open treatment phase. Patients received two weeks treatment of oxycodone hydrochloride controlled-release tablets. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Oxycodone Capsules for Cancer Pain | Oxycodone: dosage: 5mg, l0mg and 20mg dosage form: capsule frequency: every 6h, duration: 5-8 days |
| BG001 | Morphine Tablets for Cancer Pain |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Numerical Rating Scale (NRS) | The numerical rating scale is the tool to assess pain level using a numerical rating scale. The primary outcome measurement is the average change of NRS score after double blind treatment between the two treatment groups. The NRS evaluates the pain level using number scale from 0 to 10. 0 means not painful and 10 means extremely painful. 1 to 3 is lightly pain, 4-6 is moderate pain and 7 to 10 is severe pain. There is no subscales used for NRS reporting. | Posted | Mean | Standard Deviation | scores on a scale | baseline up to 5-8 days (double blind period) |
|
up to 36 days
The AE collection period including maximally 7 days screening and 5 to 8 days double blind period, and then 14 days open treatment period. 7 days safety follow up.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Oxycodone Capsules for Cancer Pain | Oxycodone: dosage: 5mg, l0mg and 20mg dosage form: capsule frequency: every 6h, duration: 5-8 days |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Respiratory and circulatory failure | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment | 4 patients died of respiratory/circulatory failure due to progression of the underlying disease, which were not related to the study drug determined by the investigator |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Constipation | Gastrointestinal disorders | Non-systematic Assessment |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of R&D | Mundipharma (China) phamaceutical CO. LTD | 0086-10-65636800 |
Not provided
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D000072716 | Cancer Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D010098 | Oxycodone |
| D009020 | Morphine |
| ID | Term |
|---|---|
| D003061 | Codeine |
| D009022 | Morphine Derivatives |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Morphine | Drug | Morphine tablets 10mg and 20mg, oral every 4-6 hours |
|
|
The secondary outcome measurement is the change between BPI score at baseline and after completion of double blind treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in the passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items. |
| baseline up to 5-8 days (double blind period) |
| Times of Breakthrough Pain Occurrence | the times of breakthrough pain occurrence during double blind treatment phase between the two treatment groups | Within 8 days after baseline |
| Patient Assessments of Satisfaction for Pain Management | the number of patients of satisfaction for pain management between the two treatment groups at the end of double blind treatment and the open label treatment period. | baseline up to 19-22 days (open label treatment) |
| Average Number of Titrations | the average times to change the dose in order to find the proper dose between two treatment groups | baseline up to 1-3 days(double blind period) |
| Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment | The secondary outcome measurement is the change of BPI score from baseline to the end of open label treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items. | baseline up to 19-22 days (open label treatment) |
| the Total Dose of Rescue Medicine for Breakthrough Pain. | the total dose of rescue medicine for breakthrough pain during double blind phase between the two treatment groups | baseline up to 22 days (double blind period) |
| Degree of Pain Relief Within 24hrs After Treatment | Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period. The BPI is the average number of above 4 BPI Pain Items. For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%). | baseline up to 5-8 days (double blind period) |
| Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment | For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%). | baseline up to 19-22 days (open label treatment) |
| Protocol Violation |
|
| Lack of Efficacy |
|
| Lost to Follow-up |
|
| Other |
|
Morphine: Morphine tablets 10mg and 20mg, oral every 4-6 hours
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| height | Mean | Standard Deviation | centimeter |
|
| weight | Mean | Standard Deviation | kg |
|
Morphine: Morphine tablets 10mg and 20mg, oral every 4-6 hours |
|
|
| Secondary | The Average Dose of Study Medicine Used During Double Blind Treatment Period | the average dose of study medicine used during double blind treatment period between the two treatment groups. | The average total dosage during double-blind treatment was defined as a primary efficacy endpoint in the protocol, but this study was a non-inferiority study, and non-inferiority analysis could not be performed in average total dosage in data processing and statistics. | Posted | Mean | Standard Deviation | mg | baseline up to 5-8 days (double blind period) |
|
|
|
| Secondary | Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period | The secondary outcome measurement is the change between BPI score at baseline and after completion of double blind treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in the passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items. | Posted | Mean | Standard Deviation | scores on a scale | baseline up to 5-8 days (double blind period) |
|
|
|
| Secondary | Times of Breakthrough Pain Occurrence | the times of breakthrough pain occurrence during double blind treatment phase between the two treatment groups | Posted | Number | breakthrough pain events | Within 8 days after baseline |
|
|
|
| Secondary | Patient Assessments of Satisfaction for Pain Management | the number of patients of satisfaction for pain management between the two treatment groups at the end of double blind treatment and the open label treatment period. | Posted | Count of Participants | Participants | baseline up to 19-22 days (open label treatment) |
|
|
|
| Secondary | Average Number of Titrations | the average times to change the dose in order to find the proper dose between two treatment groups | Dosing change frequency for complete titration | Posted | Mean | Standard Deviation | dose changes | baseline up to 1-3 days(double blind period) |
|
|
|
| Secondary | Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment | The secondary outcome measurement is the change of BPI score from baseline to the end of open label treatment between the two treatment groups. The Brief Pain Inventory (BPI) rapidly assesses the severity of pain and its impact on functioning. This tool measures the worst/least pain in passed 24 hours, and the average/current pain in last 24 hours. The scale is numerically from 0 to 10. 0 means not painful, 10 means extremely painful. The BPI is the average number of above 4 BPI Pain Items. | Posted | Mean | Standard Deviation | scores on a scale | baseline up to 19-22 days (open label treatment) |
|
|
|
| Secondary | the Total Dose of Rescue Medicine for Breakthrough Pain. | the total dose of rescue medicine for breakthrough pain during double blind phase between the two treatment groups | The double-blind titration period was the dose adjusting phase, so breakthrough pain occurrences in this period were not included in statistical analysis. After titration was completed, subjects entered into maintenance treatment with the titrated dose. | Posted | Mean | Standard Deviation | mg | baseline up to 22 days (double blind period) |
|
|
|
| Secondary | Degree of Pain Relief Within 24hrs After Treatment | Brief Pain Inventory (BPI) Change From Baseline to After Double Blind Period. The BPI is the average number of above 4 BPI Pain Items. For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%). | Posted | Mean | Standard Deviation | percentage of pain relief | baseline up to 5-8 days (double blind period) |
|
|
|
| Secondary | Brief Pain Inventory (BPI) Change From Baseline to Open Label Treatment | For the degree of pain relief within 24hrs after treatment, 0 means zero relief and 100 means completely relief with unit of percentage(%). | Posted | Mean | Standard Deviation | percentage of pain relief | baseline up to 19-22 days (open label treatment) |
|
|
|
| 2 |
| 120 |
| 4 |
| 120 |
| 76 |
| 120 |
| EG001 | Morphine Tablets for Cancer Pain | Morphine: Morphine tablets 10mg and 20mg, oral every 4-6 hours | 2 | 118 | 2 | 118 | 75 | 118 |
|
| ileus | Gastrointestinal disorders | Non-systematic Assessment | 1 patient had ileus, which was possibly related to the study drug determined by the investigator, and the associated symptoms completely disappeared at the end of follow-up period. |
|
| Brain metastases | Nervous system disorders | Non-systematic Assessment | 1 patient was hospitalized for brain metastases, which was unrelated to the study drug determined by the investigator, and the associated symptoms still persisted at the end of follow-up period; |
|
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | Non-systematic Assessment |
|
| Fever | Immune system disorders | Non-systematic Assessment |
|
| Drowsiness | Nervous system disorders | Non-systematic Assessment |
|
| Loss of appetite | Nervous system disorders | Non-systematic Assessment |
|
| Fatigue | Psychiatric disorders | Non-systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Pulmonary infection | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Dyspnea | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Dysuria | Renal and urinary disorders | Non-systematic Assessment |
|
| Anemia | Blood and lymphatic system disorders | Non-systematic Assessment |
|
| Low platelet count | Blood and lymphatic system disorders | Non-systematic Assessment |
|
| Hypertension | Blood and lymphatic system disorders | Non-systematic Assessment |
|
Not provided
Not provided
| D000470 |
| Alkaloids |
| D006571 | Heterocyclic Compounds |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010616 | Phenanthrenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D011083 | Polycyclic Compounds |
| Average pain intensity in 24 hrs |
|
| Current Pain intensity |
|
| Neutral |
|
| Dissatisfied |
|
| Missing |
|
| Average pain intensity in 24 hrs |
|
| Current Pain intensity |
|
| the total dose of rescue medicine-day3 |
|
| the total dose of rescue medicine-day4 |
|
| the total dose of rescue medicine-day5 |
|
| the total dose of rescue medicine -day6 |
|
| the total dose of rescue medicine after day6 |
|